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APPLICATION AND CERTIFICATE FOR PAYMENT <br /> <br />Page 1 of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public City Hall <br /> <br />APPLICATION #: 5 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />ZO0 Grand Avenue <br />Saint Paul, MN 5510Z <br /> <br />ARCHITECT: <br /> Tushie Montgomery <br /> <br />PERIOD FROM: 12/1/OZ <br />PERIOD TO: 12/31/OZ <br /> <br />CONTRACTOR'S PROJECT #7751 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 2 Dryden Excavating 3,087.50 <br /> 4 Molin Concrete 38,5Z7.25 <br /> 5 Oakwood Builder 63,650.00 <br /> 7 Minntonka Iron 17,195.00 <br /> 8 Western Steel 36,100.00 <br /> 9 Regal Contract 3,800.50 <br /> 10 George F. Cook 3,559.16 <br /> 11 Kremer & Davis 4,600.00 <br /> 16 Glewwe Doors 7,181.62 <br /> Z8 V. Anderson 4,320.00 <br /> 34 Albers Mechanical 25,79Z.50 <br /> 36 Weidner Plumbing 2,441.50 <br /> 37 Direct Digital ;),218.00 <br /> 38 Reliance Electric 14,306.50 <br /> Kraus-Anderson 7,89;).00 <br /> TOTAL: Z34,671.53 <br /> <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />on-site observations and the data comprising the <br />above situation, the Architect certifies to the Owner <br />that to the best of the Architect's knowledge, <br />information and belief the Work is in accordance with <br />the Contract Documents, and the Contractors are <br /> <br />entitled ~to pay. meo.t pf,t~,e AMOUNT INDICATe. / <br /> <br />B : <br /> <br /> <br />